OrganizationActive
Tidalhealth Pediatric Development and Therapy LLC
NPI 1588558308 · Occupational Therapist · Millsboro, DE
Provider details
- NPI number
- 1588558308
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jazmine Hollins, Credentialing Specialist(704) 799-6824
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30265 Commerce Dr Unit 204
Millsboro, DE 19966-3595
Phone: (443) 978-6020
Approximate (ZIP-level) locationGet directions
Mailing address
30265 Commerce Dr Unit 204
Millsboro, DE 19966-3595
Additional practice locations (1)
- 2326 Goddard Pkwy Ste DSalisbury, MD 21801-1126Phone: (443) 978-6020
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.